Verification of Member Eligibility. Medicaid MCOs are prohibited from entering into an agreement to share information regarding their Members with an external vendor that provides verification of Medicaid recipients’ eligibility to Medicaid providers. All such external vendors must contract with the State and obtain eligibility information from the State.
Verification of Member Eligibility. CDS agrees to admit Enrollees or render any services other than Emergency Covered Services only upon the verification of eligibility and an authorization number for services from HNYMG. Eligibility may be verified directly by on-line connection with HNYMG. Should CDS be unable to ascertain the eligibility of a patient who holds himself/herself out to be an HNYMG Enrollee, CDS shall render immediate and necessary care on a good faith basis. At the first available opportunity, eligibility shall be verified by CDS. If the patient proves not to be an eligible HNYMG Enrollee, CDS shall collect the amount due from the patient.
Verification of Member Eligibility. Fitness Center shall verify Member eligibility at the time of Member’s first attempt to utilize Fitness Center Participating Location by requesting Member to show their fitness card or welcome letter and then verifying the Member’s eligibility on ASHLink or by calling customer service.
